Organization
MATIAS CLINICAL LABORATORY INC
Active
Other names
Health Care Providers Laboratory Inc
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIO VILLARBA (PRESIDENT)
(626) 813-3800
Entity
Organization
Contact information
Practice address
14411 PALMROSE STREET, BALDWIN PARK, CA 91706
(626) 813-3800
(626) 337-2037
Mailing address
14411 PALMROSE STREET, BALDWIN PARK, CA 91706
(626) 813-3800
(626) 813-3808
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB95741F
—
CA
Enumeration date
02/19/2007
Last updated
08/07/2020
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